Difference between revisions of "Rhinoscleroma"

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#redirect [[Head_and_neck_pathology#Rhinoscleroma]]
{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Rhinoscleroma_-_very_high_mag.jpg
| Width      =
| Caption    = Rhinoscleroma. [[H&E stain]].
| Synonyms  =
| Micro      = macrophages with clear-to-foamy cytoplasm, lymphocytes, plasma cells
| Subtypes  =
| LMDDx      = [[Rosai-Dorfman disease]]
| Stains    = [[Warthin-Starry stain]] +ve (rod-shaped organisms)
| IHC        = CD68 +ve, S100 -ve
| EM        =
| Molecular  =
| IF        =
| Gross      =
| Grossing  =
| Site      = [[head and neck pathology|head and neck]] - usu. nose
| Assdx      =
| Syndromes  =
| Clinicalhx =
| Signs      = nasal deformation (late)
| Symptoms  =
| Prevalence = rare
| Bloodwork  =
| Rads      =
| Endoscopy  =
| Prognosis  =
| Other      =
| ClinDDx    =
| Tx        =
}}
'''Rhinoscleroma''' is a rare infectious condition of the [[head and neck pathology|head and neck]].
 
==General==
*Caused by ''Klebsiella rhinoscleromatis''.
*Nose involved +95% of the time.<ref name=pmid17359555>{{Cite journal  | last1 = Chan | first1 = TV. | last2 = Spiegel | first2 = JH. | title = Klebsiella rhinoscleromatis of the membranous nasal septum. | journal = J Laryngol Otol | volume = 121 | issue = 10 | pages = 998-1002 | month = Oct | year = 2007 | doi = 10.1017/S0022215107006421 | PMID = 17359555 }}</ref>
 
==Gross==
*Nasal mass - may be deforming.
 
Image:
*[http://commons.wikimedia.org/wiki/File:Wolkowitsch1.jpg Rhinoscleroma (WC)].
 
==Microscopic==
Features:<ref>URL: [http://www.brown.edu/Courses/Digital_Path/systemic_path/hn/rhinoscleroma2.html http://www.brown.edu/Courses/Digital_Path/systemic_path/hn/rhinoscleroma2.html]. Accessed on: 18 January 2012.</ref>
*Macrophages - clear-to-foamy cytoplasm.
*Lymphocytes.
*Plasma cells.
 
DDx:
*[[Rosai-Dorfman disease]] - usu. has [[emperipolesis]].<ref name=pmid21938169>{{cite journal |author=Iyer VK, Handa KK, Sharma MC |title=Variable extent of emperipolesis in the evolution of Rosai Dorfman disease: Diagnostic and pathogenetic implications |journal=J Cytol |volume=26 |issue=3 |pages=111–6 |year=2009 |month=July |pmid=21938169 |pmc=3168012 |doi=10.4103/0970-9371.59398 |url=}}</ref>
 
===Images===
<gallery>
Image:Rhinoscleroma_-_intermed_mag.jpg | Rhinoscleroma - intermed. mag. (WC)
Image:Rhinoscleroma_-_high_mag.jpg | Rhinoscleroma - high mag. (WC)
Image:Rhinoscleroma_-_very_high_mag.jpg | Rhinoscleroma - very high mag. (WC)
</gallery>
www:
*[http://www.brown.edu/Courses/Digital_Path/systemic_path/hn/rhinoscleroma2.html Rhinoscleroma (brown.edu)].
*[http://www.jameswpattersonmd.com/images/pages/rhinoscleroma_mic324.jpg Rhinoscleroma (jameswpattersonmd.com)].<ref>URL: [http://www.jameswpattersonmd.com/case_studies/index.cfm?CFID=387434 http://www.jameswpattersonmd.com/case_studies/index.cfm?CFID=387434]. Accessed on: 21 February 2012.</ref>
 
==Stains==
*Warthin-Starry stain +ve (rod-shaped organisms).
*[[Dieterle stain]] +ve (rod-shaped organisms).
 
==IHC==
*S100 -ve.<ref name=pmid19646302>{{cite journal |author=Ilie M, Guevara N, Castillo L, Hofman P |title=Polypoid intranasal mass caused by Rosai-Dorfman disease: a diagnostic pitfall |journal=J Laryngol Otol |volume=124 |issue=3 |pages=345–8 |year=2010 |month=March |pmid=19646302 |doi=10.1017/S0022215109990818 |url=}}</ref>
 
==See also==
*[[Head and neck pathology]].
 
==References==
{{Reflist|2}}


[[Category:Diagnosis]]
[[Category:Diagnosis]]
[[Category:Head and neck pathology]]

Latest revision as of 03:03, 7 July 2014

Rhinoscleroma
Diagnosis in short

Rhinoscleroma. H&E stain.

LM macrophages with clear-to-foamy cytoplasm, lymphocytes, plasma cells
LM DDx Rosai-Dorfman disease
Stains Warthin-Starry stain +ve (rod-shaped organisms)
IHC CD68 +ve, S100 -ve
Site head and neck - usu. nose

Signs nasal deformation (late)
Prevalence rare

Rhinoscleroma is a rare infectious condition of the head and neck.

General

  • Caused by Klebsiella rhinoscleromatis.
  • Nose involved +95% of the time.[1]

Gross

  • Nasal mass - may be deforming.

Image:

Microscopic

Features:[2]

  • Macrophages - clear-to-foamy cytoplasm.
  • Lymphocytes.
  • Plasma cells.

DDx:

Images

www:

Stains

  • Warthin-Starry stain +ve (rod-shaped organisms).
  • Dieterle stain +ve (rod-shaped organisms).

IHC

See also

References

  1. Chan, TV.; Spiegel, JH. (Oct 2007). "Klebsiella rhinoscleromatis of the membranous nasal septum.". J Laryngol Otol 121 (10): 998-1002. doi:10.1017/S0022215107006421. PMID 17359555.
  2. URL: http://www.brown.edu/Courses/Digital_Path/systemic_path/hn/rhinoscleroma2.html. Accessed on: 18 January 2012.
  3. Iyer VK, Handa KK, Sharma MC (July 2009). "Variable extent of emperipolesis in the evolution of Rosai Dorfman disease: Diagnostic and pathogenetic implications". J Cytol 26 (3): 111–6. doi:10.4103/0970-9371.59398. PMC 3168012. PMID 21938169. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3168012/.
  4. URL: http://www.jameswpattersonmd.com/case_studies/index.cfm?CFID=387434. Accessed on: 21 February 2012.
  5. Ilie M, Guevara N, Castillo L, Hofman P (March 2010). "Polypoid intranasal mass caused by Rosai-Dorfman disease: a diagnostic pitfall". J Laryngol Otol 124 (3): 345–8. doi:10.1017/S0022215109990818. PMID 19646302.